<?php if(validation_errors() != '') { ?>
<div class="alert alert-danger">
    <?php echo validation_errors(); ?>
</div>
<?php } ?>
<form role="form" method="POST">
    <div class="form-group">
        <label>Nombre</label>
        <input type="text" name="nombre" class="form-control" maxlength="100" autofocus>
    </div>
    <div class="form-group">
        <label>Domicilio</label>
        <input type="text" name="domicilio" class="form-control" maxlength="100">
    </div>
    <div class="form-group">
        <label>Localidad</label>
        <input type="text" name="localidad" class="form-control" maxlength="100">
    </div>
    <div class="form-group">
        <label>Provincia</label>
        <input type="text" name="provincia" class="form-control" maxlength="100">
    </div>
    <div class="form-group">
        <label>Teléfono</label>
        <input type="tel" name="telefono" class="form-control" maxlength="100">
    </div>
    <div class="form-group">
        <label>Persona de Contacto</label>
        <input type="text" name="contacto" class="form-control" maxlength="100">
    </div>
    <div class="form-group">
        <label>E-mail</label>
        <input type="email" name="email" class="form-control" maxlength="100">
    </div>
    <button type="submit" class="btn btn-success">Agregar</button>
</form>